Healthcare Provider Details

I. General information

NPI: 1235122680
Provider Name (Legal Business Name): PATRICK HAUGH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10403 HOSPITAL DR STE 102
CLINTON MD
20735-3148
US

IV. Provider business mailing address

10403 HOSPITAL DR STE 102
CLINTON MD
20735-3148
US

V. Phone/Fax

Practice location:
  • Phone: 301-531-9190
  • Fax: 301-531-9191
Mailing address:
  • Phone: 301-531-9190
  • Fax: 301-531-9191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberD45851
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD45851
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: